UPI (Provider ID): 2536
Change Report (if Any):

Short Name: SYNTAXIS YTH HM

Long Name 1: SYNTAXIS YOUTH HOMES
Long Name 2: JOYCE GROUP HOME

Address 1: 2824 JOYCE AVENUE
Address 2:

City: COLUMBUS
Zip Code: 43211
County: FRAN

Contact: DENISE FRANCIS
Title: OFMG
Phone: 6148956818
FAX: 6148956823

Vendor: 2536

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012